Provider Demographics
NPI:1699032300
Name:SKILLINGS, CHERIE C (LPC)
Entity Type:Individual
Prefix:
First Name:CHERIE
Middle Name:C
Last Name:SKILLINGS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 6832
Mailing Address - Street 2:
Mailing Address - City:BEND
Mailing Address - State:OR
Mailing Address - Zip Code:97708-6832
Mailing Address - Country:US
Mailing Address - Phone:541-410-3941
Mailing Address - Fax:541-919-0380
Practice Address - Street 1:2190 NE PROFESSIONAL CT STE 250
Practice Address - Street 2:
Practice Address - City:BEND
Practice Address - State:OR
Practice Address - Zip Code:97701-6988
Practice Address - Country:US
Practice Address - Phone:541-419-3333
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-04-19
Last Update Date:2022-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORC2893101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR500812162Medicaid